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1124408786
YARDELL TAVARIUS BASS
LAS VEGAS, NV
NPI
1124408786
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2015-06-08
Last Update Date
2015-06-08
Business Address
-- YARDELL TAVARIUS BASS
2020 W BONANZA RD
LAS VEGAS, NV 89106-4710
Phone number: 702-749-6332
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Mailing Address
-- YARDELL TAVARIUS BASS
4042 MEADOWGLEN AVE
LAS VEGAS, NV 89121-6344
Phone number: 702-287-8459
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